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Individual

MICHAEL THOMAS FEWKES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1522 E A ST, CASPER, WY 82601-2221
(307) 234-6161
Mailing address
902 SW 9TH ST, FRUITLAND, ID 83619-2521
(208) 740-0811

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
215-T2
WY

Other

Enumeration date
05/02/2023
Last updated
07/26/2024
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